Transthoracic echocardiography compared with coronary angiography for patients with cardiogenic shock: A prospective cohort study

Cardiogenic shock is the most severe form of acute heart failure. The aim of the current study was to investigate correlations between diagnostic parameters and the estimated ejection fraction in patients with cardiogenic shock. A total of 2,445 patients with acute myocardial infarction were subject...

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Autores principales: Chen, Jianmei, He, Yanping, Hao, Yuanyuan, Yu, Xie, Zhang, Guifang, Zhu, Jun, Yao, Yonggang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: D.A. Spandidos 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861891/
https://www.ncbi.nlm.nih.gov/pubmed/31772642
http://dx.doi.org/10.3892/etm.2019.8110
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author Chen, Jianmei
He, Yanping
Hao, Yuanyuan
Yu, Xie
Zhang, Guifang
Zhu, Jun
Yao, Yonggang
author_facet Chen, Jianmei
He, Yanping
Hao, Yuanyuan
Yu, Xie
Zhang, Guifang
Zhu, Jun
Yao, Yonggang
author_sort Chen, Jianmei
collection PubMed
description Cardiogenic shock is the most severe form of acute heart failure. The aim of the current study was to investigate correlations between diagnostic parameters and the estimated ejection fraction in patients with cardiogenic shock. A total of 2,445 patients with acute myocardial infarction were subjected to coronary angiograms and standard 2D transthoracic echocardiography. Information for culprit vessel(s) and mitral regurgitation were collected. The Spearman's correlation test was used to assess the correlation between diagnostic parameters and estimated ejection fractions at a 95% confidence level. The angiographically-derived numbers of culprit vessels had a significant correlation with mitral regurgitation (r=0.907; P=0.034). The echocardiographically-derived mitral regurgitation was significantly correlated with the numbers of culprit vessels (r=0.896; P=0.04). Positive correlation was established between angiographically- and echocardiographically-measured left ventricular ejection fraction (r=0.356; P=0.045). The numbers of culprit vessels (P=0.058) and mitral regurgitation (r=0.99; P=0.001) were similar for angiography and echocardiography. Echocardiography- and angiography-derived results were correlated with the estimated ejection fractions of patients with cardiogenic shock. However, there is a substantial difference in the procedures of the two operational techniques.
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spelling pubmed-68618912019-11-26 Transthoracic echocardiography compared with coronary angiography for patients with cardiogenic shock: A prospective cohort study Chen, Jianmei He, Yanping Hao, Yuanyuan Yu, Xie Zhang, Guifang Zhu, Jun Yao, Yonggang Exp Ther Med Articles Cardiogenic shock is the most severe form of acute heart failure. The aim of the current study was to investigate correlations between diagnostic parameters and the estimated ejection fraction in patients with cardiogenic shock. A total of 2,445 patients with acute myocardial infarction were subjected to coronary angiograms and standard 2D transthoracic echocardiography. Information for culprit vessel(s) and mitral regurgitation were collected. The Spearman's correlation test was used to assess the correlation between diagnostic parameters and estimated ejection fractions at a 95% confidence level. The angiographically-derived numbers of culprit vessels had a significant correlation with mitral regurgitation (r=0.907; P=0.034). The echocardiographically-derived mitral regurgitation was significantly correlated with the numbers of culprit vessels (r=0.896; P=0.04). Positive correlation was established between angiographically- and echocardiographically-measured left ventricular ejection fraction (r=0.356; P=0.045). The numbers of culprit vessels (P=0.058) and mitral regurgitation (r=0.99; P=0.001) were similar for angiography and echocardiography. Echocardiography- and angiography-derived results were correlated with the estimated ejection fractions of patients with cardiogenic shock. However, there is a substantial difference in the procedures of the two operational techniques. D.A. Spandidos 2019-12 2019-10-18 /pmc/articles/PMC6861891/ /pubmed/31772642 http://dx.doi.org/10.3892/etm.2019.8110 Text en Copyright: © Chen et al. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/) , which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
spellingShingle Articles
Chen, Jianmei
He, Yanping
Hao, Yuanyuan
Yu, Xie
Zhang, Guifang
Zhu, Jun
Yao, Yonggang
Transthoracic echocardiography compared with coronary angiography for patients with cardiogenic shock: A prospective cohort study
title Transthoracic echocardiography compared with coronary angiography for patients with cardiogenic shock: A prospective cohort study
title_full Transthoracic echocardiography compared with coronary angiography for patients with cardiogenic shock: A prospective cohort study
title_fullStr Transthoracic echocardiography compared with coronary angiography for patients with cardiogenic shock: A prospective cohort study
title_full_unstemmed Transthoracic echocardiography compared with coronary angiography for patients with cardiogenic shock: A prospective cohort study
title_short Transthoracic echocardiography compared with coronary angiography for patients with cardiogenic shock: A prospective cohort study
title_sort transthoracic echocardiography compared with coronary angiography for patients with cardiogenic shock: a prospective cohort study
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861891/
https://www.ncbi.nlm.nih.gov/pubmed/31772642
http://dx.doi.org/10.3892/etm.2019.8110
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